13-1607 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001607
c&t!t444"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Property Address: 53860 AVENIDA CARRANZA
APN: 774-161-007-18 -000000-
Application description: PLUMBING
L --a-
Property Zoning: COVE RESIDENTIAL
0 E
Application valuation: 3450
C ` 2013
Applicant: Architect or Enginter:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseClass: C36 se No.: 930133
Dt3e:,r Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any'city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031,.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve fui the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
SERRITELLI FRANK R
*NOT ON FILE
UNKNOWN, CA 99999
Contractor:
TOMMY ROOTER
80975 INDIO BOULEVARD #C3
INDIO, CA 92201
(760)574-4444
Lic. No.: 930133
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/13
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
f by Section 3700 of the Labor Code, for the performance of the work for which this permit is
.ssued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NORGUARD INS Policy Number THWC435917
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of th�eLabor Code, I shall forthwith com 1 � �rvisions.
N
Date: / "/-/ 'App can" Lav
WARNING: FAILURE TO SECURE OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER laelIffINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I*certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of tthhiis cs qty to center upon the above-mentioned property for inspection purposes.
Date: /2--o-/;Signature pplicant or Agent;;_
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . 13-00001607
PLUMBING 2013
11.92 Plan Check Fee . . .00
Valuation . . . . 0
6/09/14
,Qty Unit Charge Per 'Extension
1.00 11.9200 EA PLBG BUILDING SEWER 11.92
----------------------------------------------------------------------------
Special Notes and Comments
SEWER - ABANDON SEPTIC, SEWER CONNECT.
2010 CALIFORNIA BUILDING CODES.
----------------------------- :
Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 11.92
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
11.92 .00
.00 - .00
103.49 .00
115.41 .00
Credited Due
.00 11.92
.00 .00
.00 103.49
.00 115.41
Bin #
City of La Q uin to
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I �YQ
Project Address: I'l � /�
Owner's Name: FA --4 ..,Lt St r*-l,r-e/%i
A. P. Number:
Address:
Legal Description:
City, ST, Zip: 4 9ti� ^ C1 2-2-
2Contractor:
Contractor:/1�/
�S1r� 7'
Telephone:
p
Address:571pJ /3 t—J , 0- 1
Project Description:
City, ST, Zip: (lOL
Telephone: %O �7 y �i.
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State Lic. # : g 30/33
City Lic. #.: 107602
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
::w;:>.<::<::;z>:::«::?::;::;<::::<:>:;:>s:::
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...................................................
Construction Type: Occupancy 1' .
State Lic. #
a air Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3LI) �•
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2q' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Tommy Rooter Plumbing
TOMMY ROOTER PLUMBING
80975 INDIO BLVD STE CE
INDIO, CA 92201
(760)574-4444
tommyrooter@gmail.com
www.toinmyrooter.com
kim
53860 Avenida Carranza
LaQuinta, CA,
Estimate
�P��Date�,���
�Estitnate�No ��;
11/20/2013
1086
Acti�ltyY�ON
12/04/2013__..l
x, Amount,.;
Accepted By
Accepted Date
'Tech
Tommy
Acti�ltyY�ON
10-11�e
a. s L°s"{.r+e '„
x, Amount,.;
• Hello and thank you for giving Tommy Rooter Plumbing this opportunity to.bid on this project. As per your
3,450.00
request here is the bid on the sewer hook up. In this project we will be hooking up the house to sewer, pumping
the septic, pumping the drywell and filling in the dry well and septic. This bid includes the parts, tax, labor,
equipment and city permits. I will need the water districts assessment fee receipt in my hand to pull the city
permit. This bid does not include the purchase of the assessment fee. Please feel free to contact me at the office
if you have any questions. Thank you for your time.
• To Our Customers: Service men are required to have work slip signed. This is done in order to protect you, the
0.00
workmen, and ourselves and to enable us to give you absolute satisfactory service. You are<respectfully
requested to examine material and labor statement before workmen leave the job, and if you find everything
satisfactory, okay this ticket. If service is unsatisfactory, in any way, please phone our office immediately.
A PENALTY WILL BE CHARGED AT THE RATE OF 1 1/2% PER MONTH ON UNPAID BALANCES
AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%
RETURNED CHECK FEE $25.00
"NOTICE TO OWNER" (Section 7019 -Contractors License Law) Under the Mechanics' Lien Law, any
contractor, subcontractor, laborer, material man or other person who helps to improve your property and is not
paid for his labor, services or material, has a right to enforce his claim against your property. Under the law, you
may protect yourself against such claims by filing, before commencing such work or improvement, as original
contract for the work of improvement, or a modification thereof, in the office of the county recorder of the
county where the property is situated and.requiring that a contractors payment bond be recorded in such office.
Said bond shall be in an amount not less than fifty percent (50%) of the contract price and shall, in addition to
any conditions for the performance of the contract, be conditional for the payment in full of the claims of all
persons furnishing labor, services, equipment or materials for the work described in said contract.
Tommy Rooter PlumbingHelping The Valle One Friend at a Time.
P 9 Y.
= TOtel
a-
` =� $3 450 00
r^A 1;-44n�n4�a
- ',
�,. >-.
Accepted By
Accepted Date
z
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 12/6/2013
SUBJECT: SCC ONLY- 53860 AVENIDA CARRRANZA, LA QUINTA, LID 689096 LOT 18
L
FRANK SERRITELLI Project:
13-5064
53860 AVENIDA CARRANZA Project Date:
12/6/2013
Amount Due:
$4,851.00
LA QUINTA, CA 92253 GEO:
06-06-12-4
Planner:
SARA LOPEZ
TO INSURE PROPER CREDIT. PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT:SCC ONLY- 53860 AVENIDA CARRRANZA, LA QUINTA, LID 689096 LOT 18
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 pager